Dr Jack L Liebo, MD - Family Medicine in St Louis Park, MN

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Dr Jack L Liebo, MD is a Family Medicine physician based in St Louis Park, Minnesota. Dr Jack L Liebo is licensed to practice in Minnesota (license number 24488) and his current practice location is 3931 Louisiana Ave S, Ste E400, St Louis Park, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 993-3230.

NPI number for Dr Jack L Liebo is 1649255464 and his current mailing address is 3800 Park Nicollet Blvd, Credentialing, St Louis Park, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649255464.

Contact Information

Dr Jack L Liebo, MD
3931 Louisiana Ave S, Ste E400,
St Louis Park, MN 55426-4375
(952) 993-3230
Not Available

Map and Direction




Physician's Profile

Full NameDr Jack L Liebo
GenderMale
SpecialityFamily Medicine
Location3931 Louisiana Ave S, St Louis Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649255464
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 03/02/2012

Medical Identifiers

Medical identifiers for Dr Jack L Liebo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649255464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 24488 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack L Liebo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack L Liebo, MD
3800 Park Nicollet Blvd, Credentialing,
St Louis Park, MN 55416-2527

Ph: () -		Dr Jack L Liebo, MD
3931 Louisiana Ave S, Ste E400,
St Louis Park, MN 55426-4375

Ph: (952) 993-3230

Reviews and Comments


Family Medicine Doctors in St Louis Park, MN

Elisabeth Jean Mcclean, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-883-1000    
Kari Miller,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3512    
Dr. Sara Johanna Mitlyng, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426
Phone: 952-993-7700    
Dr. Wayne D Liebhard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3025    
Michael Dukinfield,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426
Phone: 952-993-7700    
Jodi Milburn,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-6666    
Mary D Wagner,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426
Phone: 952-993-7707    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.